SSM Health St. Mary's Hospital - Janesville
3400 East Racine Street, Janesville, WI · SSM Health · · NPI 1548654676
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $15,466.00 – $15,466.00 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $7,151.35 – $9,811.00 | 4 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $5,481.64 – $16,582.00 | 4 |
| Rsv assay w/optic CPT 87807 | $127.60 | $232.00 | $9.82 – $95.32 | 5 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $18.64 – $24.86 | 2 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $18.39 – $24.52 | 2 |
| Rubella antibody igg CPT 86762 | $133.10 | $242.00 | $10.79 – $114.45 | 5 |
| Rubeola ag if CPT 87283 | not published | not published | $45.60 – $106.40 | 5 |
| Rubeola antibody igg CPT 86765 | $102.85 | $187.00 | $9.66 – $102.45 | 5 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $247.13 – $1,849.53 | 5 |
| Russell viper venom diluted CPT 85613 | $121.00 | $220.00 | $7.18 – $76.18 | 5 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $687.81 – $4,196.56 | 5 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $28.23 – $68.89 | 5 |
| Safety plan interven HCPCS G0560 | not published | not published | $29.30 – $39.07 | 2 |
| Salivary gland function exam CPT 78232 | not published | not published | $302.00 – $633.52 | 3 |
| Salivary gland imaging CPT 78230 | not published | not published | $302.00 – $979.64 | 3 |
| Salivary glnd img serial img CPT 78231 | $1,206.70 | $2,194.00 | $302.00 – $835.63 | 3 |
| Salmonella antibody CPT 86768 | not published | not published | $9.89 – $65.04 | 5 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $2,445.46 – $6,798.00 | 4 |
| Sargramostim injection HCPCS J2820 | not published | not published | $46.86 – $111.04 | 5 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $38.57 – $226.29 | 5 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.01 – $306.92 | 3 |
| Sarscov coronavirus ag ia CPT 87426 | $144.65 | $263.00 | $26.50 – $206.47 | 5 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $52.72 – $180.45 | 5 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $4,586.20 – $9,811.00 | 4 |
| Sbrt management CPT 77435 | not published | not published | $4,982.85 – $4,982.85 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $902.00 | $1,640.00 | $180.25 – $240.33 | 2 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $778.80 | $1,416.00 | $78.98 – $105.30 | 2 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | not published | not published | $180.25 – $240.33 | 2 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $78.98 – $105.30 | 2 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $459.25 | $835.00 | $78.98 – $105.30 | 2 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,161.05 | $2,111.00 | $78.98 – $105.30 | 2 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | not published | not published | $180.25 – $240.33 | 2 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,108.25 | $2,015.00 | $78.98 – $105.30 | 2 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,092.30 | $1,986.00 | $78.98 – $105.30 | 2 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,316.05 | $4,211.00 | $1,247.68 – $4,074.00 | 4 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $13.90 – $84.01 | 5 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $23.96 – $84.01 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $32.98 – $169.92 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $19.87 – $209.62 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $20.29 – $161.13 | 5 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $15.20 – $161.13 | 5 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $702.53 – $2,974.72 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $702.53 – $4,074.00 | 4 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $59.95 | $109.00 | $13.54 – $126.48 | 5 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $21.20 – $195.89 | 5 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $34.76 – $113.47 | 5 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $18.06 – $192.81 | 5 |
| Screening Mammogram CPT 77067 | not published | not published | $65.36 – $774.69 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $241.45 | $439.00 | $14.48 – $146.29 | 5 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $13.90 – $84.01 | 5 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $598.50 | $1,088.18 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $54.39 – $72.52 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $10,498.00 – $10,498.00 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $1,704.00 – $1,704.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $61.05 | $111.00 | $2.02 – $21.48 | 5 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $16,352.00 – $16,352.00 | 1 |
| Select picture audiometry CPT 92583 | not published | not published | $44.57 – $59.42 | 2 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $21.85 – $29.13 | 2 |
| Semen analysis HCPCS G0027 | not published | not published | $4.88 – $51.72 | 5 |
| Semen analysis presence/motility CPT 89321 | $113.85 | $207.00 | $9.04 – $95.79 | 5 |
| Semen analysis w/count CPT 89310 | $189.75 | $345.00 | $6.46 – $68.47 | 5 |
| Sensorimotor examination CPT 92060 | not published | not published | $44.57 – $59.42 | 2 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $28.22 – $37.62 | 2 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $1,796.05 – $6,798.00 | 4 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $144.00 – $488.42 | 5 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $2,471.80 – $10,498.00 | 4 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $5,481.64 – $18,190.00 | 4 |
| Serpina1 gene CPT 81332 | $535.15 | $973.00 | $32.74 – $347.08 | 5 |
| Sertraline (zoloft) - sendout CPT 80332 | $215.05 | $391.00 | $137.83 – $137.83 | 1 |
| Set radiation therapy field CPT 77280 | $875.60 | $1,592.00 | $101.54 – $1,851.37 | 3 |
| Set radiation therapy field CPT 77285 | $1,397.55 | $2,541.00 | $282.86 – $2,939.59 | 3 |
| Set radiation therapy field CPT 77290 | $2,659.25 | $4,835.00 | $282.86 – $3,388.16 | 3 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $232.02 – $1,704.00 | 3 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,475.17 – $6,798.00 | 4 |
| Sex chromatin identification CPT 88130 | not published | not published | $13.48 – $119.74 | 5 |
| Sex chromatin identification CPT 88140 | not published | not published | $5.99 – $63.59 | 5 |
| Sex transformation f to m CPT 55980 | not published | not published | $2,662.91 – $10,498.00 | 3 |
| Sex transformation m to f CPT 55970 | not published | not published | $3,779.05 – $5,038.74 | 3 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $144.94 – $1,128.09 | 5 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $903.99 – $4,321.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $151.57 – $4,074.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $151.57 – $4,074.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $307.10 – $4,074.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $307.10 – $4,074.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $151.57 – $4,074.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $151.57 – $4,074.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $151.57 – $4,074.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $307.10 – $4,074.00 | 4 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $307.10 – $4,074.00 | 4 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $151.57 – $4,074.00 | 4 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $151.57 – $4,074.00 | 4 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.